Okay, if he's not had an iron injection (or a lump of muck to nibble on) he might be anemic, but I would expect the others to be showing signs too.
Providing the grain is milled/rolled it should be fine - whole grain could be making him constipated and account for the lack of intrest in food.(the poo shouldn't be hard - but firm and easy for him to pass)
Have they been wormed ? If not, do that, it won't do any harm.
Does he suckle well from mum ? Do the piglets have access to plenty of fresh water ?
I have a litter at the moment and the runt is smaller than the other piglets, but is bright, healthy and shows lots of intrest in food, I think something's definately amiss but without seeing the piglet I'm not sure what - maybe some more experienced breeders will have more advice to offer than me.
HTH
Karen